Minimally Invasive Evacuation of Severe Intraventricular Hemorrhage Using the BrainPath Endoport-Assisted Microsurgical System

Georgios Alexopoulos*, Michael Prim, Maheen Khan, Nabiha Quadri, Jorge F. Urquiaga, Najib El Tecle, Jeroen Coppens

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

8 Scopus citations

Abstract

Objective: We present the application of the BrainPath endoport-assisted microsurgical device (EAMD) as a treatment modality for patients with severe intraventricular hemorrhage (IVH) secondary to spontaneous supratentorial intracerebral hemorrhage (sICH). Methods: Patients with severe secondary IVH (defined as Graeb score [GS] >6) who presented to Saint Louis University Hospital, St. Louis, Missouri, United States, from 2017 to 2019 were treated with the minimally invasive approach for IVH evacuation using the atraumatic BrainPath aspiration system. Results: Three patients (2 men and 1 woman) with a mean age of 54 years were included in this study. The mean preoperative GS was 10.0 with a modified GS of 23.3. The mean postoperative GS was 4.0 (P = 0.001) with a modified GS of 10.67 (P = 0.001). There were no complications related to the surgery itself in any of the reported cases. Conclusions: BrainPath EAMD evacuation of severe IVH secondary to sICH appears to be a safe and effective treatment modality that significantly increases the extent of IVH clearance, which could also lead to improved long-term patient outcomes.

Original languageEnglish (US)
Pages (from-to)e540-e548
JournalWorld neurosurgery
Volume134
DOIs
StatePublished - Feb 2020

Keywords

  • BrainPath
  • Endoport system
  • Endoport-assisted microsurgical device
  • Neuroendoscopic evacuation of intraventricular hemorrhage
  • Severe intraventricular hemorrhage
  • Spontaneous intracerebral hemorrhage

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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